PMID: 11899200Mar 20, 2002Paper

Benign broncho-esophageal fistula in the adult

The Annals of Thoracic Surgery
Abeel A MangiD J Mathisen

Abstract

Benign broncho-esophageal fistula (BEF) in the adult is rare, and occurs as a complication of inflammatory disorders, foreign body ingestion, or congenital anomalies. Nonspecific symptoms lead to a delay in diagnosis. The charts of 13 patients from 1960 to 2001 at the Massachusetts General Hospital were retrospectively reviewed. Nine patients had chronic cough, which worsened upon ingestion. Four patients developed BEF after prior thoracic surgery, and 3 after histoplasmosis. Silicosis, foreign body ingestion, lye ingestion, bronchogenic cyst, esophageal diverticulum, and a congenital anomaly caused BEF in 1 patient each. Barium swallow was the most useful diagnostic test. Fistulas most often arose from the right bronchial tree and communicated with the distal esophagus. Management involved excision of the tract, primary closure of the bronchus and esophagus, and interposition of vascularized tissue. There was one perioperative failure, but no long-term recurrences after successful surgical closure. The majority of benign BEF in adults are acquired, and result from mediastinal inflammation. Accurate recognition and surgical closure prevents persistent uncontrolled aspiration and pulmonary sepsis.

References

Oct 11, 1975·The Annals of Thoracic Surgery·H C Grillo, E W Wilkins
Oct 1, 1991·The Annals of Thoracic Surgery·D J MathisenA D Hilgenberg
Feb 1, 1991·The Annals of Thoracic Surgery·W Parry, A Juma
Jan 1, 1990·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·J FreixinetJ Sánchez-Lloret
May 1, 1965·Thorax·M V BRAIMBRIDGE, H I KEITH

❮ Previous
Next ❯

Citations

Sep 28, 2012·Journal of Cardiothoracic Surgery·Wuping WangQingshu Cheng
May 25, 2010·The Annals of Thoracic Surgery·Aron AltorjayBalázs Paál
Apr 28, 2005·The Annals of Thoracic Surgery·Mohan P DevbhandariAndrew J Duncan
Jul 31, 2007·The Journal of Thoracic and Cardiovascular Surgery·Hong Kwan KimYoung Mog Shim
Aug 25, 2010·The Annals of Thoracic Surgery·K Robert ShenClaude Deschamps
May 3, 2014·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·K M DasSven G Larsson
Feb 26, 2016·World Journal of Surgery·R LambertzW Schröder
May 1, 2007·The Journal of Thoracic and Cardiovascular Surgery·Salvatore GriffoGiovanni Ferrante
Dec 19, 2013·Singapore Medical Journal·Soo Fin LowNorzailin Abu Bakar
Oct 20, 2011·Journal of Pediatric Surgery·Şule YalçinMehmet Emin Şenocak
Jan 19, 2005·The American Journal of Gastroenterology·Charles J KahiGeorge A Sarosi
Jul 26, 2006·Respiration; International Review of Thoracic Diseases·Demet KarnakAtul C Mehta
Nov 9, 2016·Journal of Clinical Gastroenterology·Charles J LenzMark D Topazian
Dec 5, 2012·Journal of Bronchology & Interventional Pulmonology·Emine ArgüderHatice Canan Hasanoğlu
Mar 20, 2015·Transplant International : Official Journal of the European Society for Organ Transplantation·Stefania CamagniMichele Colledan
Jun 5, 2018·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Takahiro YanagiharaYukio Sato
Apr 12, 2019·Journal of Cardiothoracic Surgery·Jiri Vachtenheim, Robert Lischke
Jan 27, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Petra RosskopfovaMichel Gonzalez
Oct 25, 2020·Stem Cell Research & Therapy·Angelo TrivisonnoGabriele Toietta
Apr 13, 2021·Advanced Drug Delivery Reviews·Soheila Ali Akbari GhavimiRiccardo Gottardi

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Annals of Thoracic Surgery
Sabrina RampadoErmanno Ancona
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Angel LópezJorge Freixinet
Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
P CantùR Penagini
Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology
A Reddi, R Chetty
© 2022 Meta ULC. All rights reserved